Internal Med Medical News about Pleural Effusion Respiratory Aspiration Foreign Bodies

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Pleural effusion from a candy wrapper
Cleveland Clinic Journal of Medicine, 11/04/09

Antoun A et al. – A 60–year–old man with mild mental retardation, hypertension, chronic obstructive pulmonary disease, and recurrent left–sided pneumonia presents with worsening shortness of breath and productive cough...Risk factors for tracheobronchial foreign–body aspiration in adults are a depressed mental status or an impairment in the swallowing reflex. Aspiration commonly occurs into the right lung because of the almost straight axis between the trachea and the right mainstem bronchus. However, aspiration can occur into any part of the lung depending on the position of the patient. Common foreign bodies described in adults are teeth or dental appliances, pins, and semisolid food, especially in elderly people. The clinical presentation varies from dyspnea and wheezing to asphyxia and cardiac arrest. Unilateral wheezing – particularly in young children with asthma, cough, or cold symptoms – should raise suspicion of foreign body aspiration. Delayed complications of bronchial obstruction manifest usually as pneumonia. Subsequently, pleural effusion may develop because of an increased capillary permeability secondary to endothelial injury, and may progress to empyema.

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Iatrogenic Horner syndrome after tube thoracostomy
Journal of Pediatric Surgery, 10/26/09 Relevance Score: 78%

Dasatinib-Induced Pleural Effusions: A Lymphatic Network Disorder
The American Journal of the Medical Sciences, 11/13/09 Relevance Score: 70%

Removal of unusual, large high-velocity metallic maxillary sinus foreign bodies by a modified free bone flap technique
European Archives of Oto-Rhino-Laryngology, 11/09/09 Relevance Score: 69%

A systematic approach to the investigation and diagnosis of a unilateral pleural effusion
International Journal of Clinical Practice, 10/15/09 Relevance Score: 68%

Monoclonal anti-vascular endothelial growth factor antibody reduces fluid volume in an experimental model of inflammatory pleural effusion
Respirology, 10/13/09 Relevance Score: 68%